The solution is a simple one. Take all medical services provided inside hospitals, as well as in other institutions whose operating budgets are now funded by the Ministry of Health and Long-Term Care, and transfer the funding envelope for those services to the institutions using them. This would allow hospitals to take control of and become more financially accountable for the activities that occur within their walls, as well as allowing them to break the physician stranglehold on in-house medical services by pioneering more innovative and less costly means to deliver services: more salaried workers, physician assistants and advanced practice nurses, for example…more.
